Trish, I found some of the descriptions of the surgery to Purefoy's face very disturbing to read, because of the details, but that's not to say I wouldn't have wanted them to be there as it was also fascinating. The war certainly made a huge difference to the knowledge of how to treat such injuries and I doubt todays treatments would have been anywhere near as successful if it hadn't been for those poor people coming back from the war. Clare, I agree, that though I read this book a few months ago now that it has stayed really fresh in my memory, where so many other books start to fade. I wonder if this is her only book? David, I too thought that the comparisons between Julia's self inflicted injuries and Purefoy's war wounds were very well done and I also grew to like Julia by the end. Clare, I found Pat Barker's books quite hard going, though I did enjoy them. This one I felt was much more interesting and not quite as bleak. I haven't read the Susan Hill, but one book I can recommend that was similar to this one was Sebastian Barry's A long, Long Way, though I still feel Louisa Young was far superior. I am sure this will be in my top 10 books of the year. Shell.